Philominah Kofoworola Akinwumi, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R178488 Issued in MD

Practice address

2673 Rainy Spring CT
Odenton, MD 21113-3304

Phone

(301) 755-3822

NPI assigned

Oct 1, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Philominah Kofoworola Akinwumi Professional name

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC

  Medicare reassignment NPD
• Excelsia Physicians Group LLC

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1659086361
  NPD (past)
• Gold Shield Medical Services LLC

  • Internal Medicine Physician
  • Glen Burnie, MD
  • NPI 1881201184
  NPD (past)
• Parkway Medical Association LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Burnie, MD
  • NPI 1831846070
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475280000000",
    "number": "1235688201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2673 RAINY SPRING CT",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211133304",
            "telephone_number": "301-755-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2673 RAINY SPRING CT",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211133304",
            "telephone_number": "301-755-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINWUMI",
        "first_name": "PHILOMINAH",
        "middle_name": "KOFOWOROLA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-01",
        "last_updated": "2016-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R178488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHILOMINAH",
            "last_name": "AKINWUMI",
            "middle_name": "KOFOWOROLA",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Samantha Adam, OTR/L
• Olubunmi Adinlewa
• Agewise Transportation LLC
• Ahern Dialysis LLC
• Daniella Akibo-Betts
• Mariam Mojisola Akinyemi
• Michael C. Albert, M.D.
• All-Star Medical LLC
• Ally Behavior LLC
• Ally Behavior LLC

• All providers in Odenton, MD
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.